New Orleans Emergency Medical Services
Encyclopedia
New Orleans Emergency Medical Services (New Orleans EMS) provides basic life support
Basic life support
Basic life support is the level of medical care which is used for patients with life-threatening illnesses or injuries until the patient can be given full medical care at a hospital. It can be provided by trained medical personnel, including emergency medical technicians, paramedics, and by...

 (BLS) and advanced life support
Advanced Life Support
Advanced Life Support is a set of life-saving protocols and skills that extend Basic Life Support to further support the circulation and provide an open airway and adequate ventilation .-Components of ALS:These include:...

 (ALS) ambulance
Ambulance
An ambulance is a vehicle for transportation of sick or injured people to, from or between places of treatment for an illness or injury, and in some instances will also provide out of hospital medical care to the patient...

 units throughout the city of New Orleans, Louisiana
Louisiana
Louisiana is a state located in the southern region of the United States of America. Its capital is Baton Rouge and largest city is New Orleans. Louisiana is the only state in the U.S. with political subdivisions termed parishes, which are local governments equivalent to counties...

, USA
United States
The United States of America is a federal constitutional republic comprising fifty states and a federal district...

.

Mission Statement: To provide the highest quality pre-hospital emergency care to individuals living in and visiting New Orleans. As public servants, our sense of purpose will be reflected solely in our time sensitive, medically sound and respectful, compassionate delivery of professional emergency medical services.

History

Emergency medical transportation began in the city of New Orleans with hospital-based horse-drawn ambulances in the early 1900s. Charity Hospital  was one of the first hospitals in the nation to provide emergency medical transportation. The current EMS agency began in 1947 as the EMS division within the New Orleans Police Department
New Orleans Police Department
The New Orleans Police Department has primary responsibility for law enforcement in New Orleans, Louisiana. The department's jurisdiction covers all of Orleans Parish, while the city is divided into eight police districts....

. The ambulances were staffed with emergency medical technician
Emergency medical technician
Emergency Medical Technician or Ambulance Technician are terms used in some countries to denote a healthcare provider of emergency medical services...

s beginning in the 1960s, and the first paramedic
Paramedic
A paramedic is a healthcare professional that works in emergency medical situations. Paramedics provide advanced levels of care for medical emergencies and trauma. The majority of paramedics are based in the field in ambulances, emergency response vehicles, or in specialist mobile units such as...

s started in 1979. The EMS division was transferred from the police department to the New Orleans Health Department on July 1, 1985. After Hurricane Katrina
Hurricane Katrina
Hurricane Katrina of the 2005 Atlantic hurricane season was a powerful Atlantic hurricane. It is the costliest natural disaster, as well as one of the five deadliest hurricanes, in the history of the United States. Among recorded Atlantic hurricanes, it was the sixth strongest overall...

, the management of New Orleans EMS was changed to the New Orleans Office of Homeland Security and Public Safety. The department still resides within the health department, but the Office of Homeland Security and Public Safety maintains control of the operations.

Directors

The Directors of New Orleans EMS are listed as follows:
Position Personnel
Director Jeffrey Elder, M.D.
Deputy Director Carl Flores

Shift Supervisors

New Orleans EMS operates on a four shift rotation schedule (A, B, C, D) and also schedules swing units as necessary. On each shift there is a shift supervisor, responsible for the operations of that shift.

Administration

Within the administrative staff, several positions are utilized to offer administrative support and assistance, and guidance to the field personnel.

EMS Fellows

New Orleans EMS sponsors a fellowship in prehospital emergency medical services
Emergency medical services
Emergency medical services are a type of emergency service dedicated to providing out-of-hospital acute medical care and/or transport to definitive care, to patients with illnesses and injuries which the patient, or the medical practitioner, believes constitutes a medical emergency...

 that is recognized by the American College of Emergency Physicians
American College of Emergency Physicians
The American College of Emergency Physicians is the first and largest professional organization of emergency medicine physicians in the United States. It was founded in 1968 and is now headquartered in Irving, Texas. As of 2009 ACEP has over 28,000 physician members.The college exists to support...

. Currently, Jeff Elder, MD, is the EMS Fellow. Dr. Elder is conducting research in prehospital cardiopulmonary resuscitation
Cardiopulmonary resuscitation
Cardiopulmonary resuscitation is an emergency procedure which is performed in an effort to manually preserve intact brain function until further measures are taken to restore spontaneous blood circulation and breathing in a person in cardiac arrest. It is indicated in those who are unresponsive...

 using advanced techniques.

Special Event Coverage

New Orleans EMS, as the sole provider of 911 emergency medical services in the City of New Orleans, is responsible for the provision of medical care at several major events every year. To adequately cover these special events and provide medical coverage to all areas of the city, New Orleans EMS relies on several types of highly specialized response vehicles (SRVs) and highly trained emergency medical technicians and paramedics.

Bike Teams

The New Orleans EMS Bike Team consists of pairs of emergency medical technicians and paramedics who have taken the International Police Mountain Bike Association (IPMBA) course for Emergency Medical Services. The bike teams are utilized at outdoor festivals, music events, and extensively throughout the French Quarter
French Quarter
The French Quarter, also known as Vieux Carré, is the oldest neighborhood in the city of New Orleans. When New Orleans was founded in 1718 by Jean-Baptiste Le Moyne de Bienville, the city was originally centered on the French Quarter, or the Vieux Carré as it was known then...

. The bike teams carry an automated external defibrillator
Automated external defibrillator
An automated external defibrillator or AED is a portable electronic device that automatically diagnoses the potentially life threatening cardiac arrhythmias of ventricular fibrillation and ventricular tachycardia in a patient, and is able to treat them through defibrillation, the application of...

, cardiac monitoring equipment, and all the medications and supplies necessary for any medical or traumatic complaint.

Special Response Vehicles

New Orleans EMS operates three special response vehicles (SRVs) at various times. These vehicles consist of one modified John Deere Gator
John Deere Gator
The John Deere Gator is a family of small all-terrain utility vehicles produced by the John Deere Corporation. They typically feature a box bed, similar in function to a pickup truck, and have been made in a variety of configurations, ranging from 4 to 6 wheels. The Gator line of vehicles are...

 and two Alternative Support Apparatus (ASAP) Off-Road specialty vehicles. Both the Gator and the ASAP are used to extract sick or injured patients from areas with limited accessibility or large crowds. The Gator and ASAP are often used in parks, along parade routes, in the area around the Louisiana Superdome
Louisiana Superdome
The Mercedes-Benz Superdome, previously known as the Louisiana Superdome and colloquially known as the Superdome, is a sports and exhibition arena located in the Central Business District of New Orleans, Louisiana, USA...

, and especially in the French Quarter
French Quarter
The French Quarter, also known as Vieux Carré, is the oldest neighborhood in the city of New Orleans. When New Orleans was founded in 1718 by Jean-Baptiste Le Moyne de Bienville, the city was originally centered on the French Quarter, or the Vieux Carré as it was known then...

 where narrow streets and large crowds can make it difficult for full sized ambulances to maneuver. The SRVs are equipped with all the equipment found on a full-size ambulance and can transport a patient from the confined area to an aid station or transfer care to a waiting ambulance for transport to a hospital.

Emergency Medical Surge Unit

In February, 2010, New Orleans EMS acquired a medical ambulance bus (MAB) from Sartin Services, Inc. The MAB was named Emergency Medical Surge Unit (EMSU)-1 and has the capacity to transport 18 patients on stretchers and litters and 2 wheelchair patients, as well as six emergency medical technicians or paramedics. EMSU-1 was introduced to the public during the New Orleans Saints
New Orleans Saints
The New Orleans Saints are a professional American football team based in New Orleans, Louisiana. They are members of the South Division of the National Football Conference of the National Football League ....

 Super Bowl XLIV
Super Bowl XLIV
Super Bowl XLIV was an American football game between the American Football Conference champion Indianapolis Colts and the National Football Conference champion New Orleans Saints to decide the National Football League champion for the 2009 season. The Saints defeated the Colts by a score of...

 Championship Parade on Tuesday, February 9, 2010.

EMSU-1 saw extensive use as an on site treatment unit in support of the Rock ‘n’ Roll Mardi Gras Marathon
Rock ‘n’ Roll Mardi Gras Marathon
The Rock ‘n’ Roll Mardi Gras Marathon is an annual international marathon race which takes place in New Orleans, Louisiana in the United States...

, serving to greatly expand the ability and capacity of New Orleans EMS, and allowing on site delivery of acute medical care by emergency physicians and personnel.

Community Outreach

Led by Elizabeth Belcher, the Community Outreach Program of New Orleans EMS is focused on "preventative health and safety education for the citizens of Orleans parish. The overall goal is to develop and implement interactive programs to aid in the mission of saving lives. New Orleans EMS believes that prevention is key in this mission, and strives to supply the public with the knowledge and tools necessary to stay safe and healthy."

The Community Outreach Program teaches children safety and awareness through the T.A.S.K (Teaching Awareness and Safety to Kids)in child care centers, schools, and community centers. The Community Outreach Program is developing a program to target senior citizens and those with limited mobility and provide education and resources regarding environmental modification and fall prevention. Emergency medical technicians and paramedics with New Orleans EMS also mentor local students, teach public cardiopulmonary resuscitation
Cardiopulmonary resuscitation
Cardiopulmonary resuscitation is an emergency procedure which is performed in an effort to manually preserve intact brain function until further measures are taken to restore spontaneous blood circulation and breathing in a person in cardiac arrest. It is indicated in those who are unresponsive...

 and first aid
First aid
First aid is the provision of initial care for an illness or injury. It is usually performed by non-expert, but trained personnel to a sick or injured person until definitive medical treatment can be accessed. Certain self-limiting illnesses or minor injuries may not require further medical care...

classes.
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